EQUINE ENTRY FORM – 2016

22 AND 23 AUGUST

FRIESIANS

CONTACT PERSON / KONTAKPERSOON

Sias Horn : Show Co-Ordinator

082337 2160

ENTRY DETAILS – EXHIBITOR AND/OR OWNER

IN CASE OF MINOR RIDERS A PARENT’S/GUARDIAN’S SIGNATURE IS REQUIRED

NAME
SURNAME
ADDRESS
CELL NO
FAX NO
EMAIL
BREED
NO OF HANDLERS/GROOMS
NO OF EXHIBITORS
NO OF VEHICLES
REGISTRATION OF VEHICLES
TOTAL NO OF STABLES (R80 PER STABLE PER DAY)

ENTRY REQUIREMENTS/RULES:

  • Proof of payment must accompany entry forms.
  • No entries will be accepted without proof of payment.
  • Payment references must be the same as the exhibitor/owner who completes the entry form, also breed entered must be reflected. Please do not use animals’ names as references.
  • No late entries will be accepted.

This Event is organised and managed under the control and auspices of, and by the Breed Society/Club. The Organisers of the Jacaranda Agricultural Show act in an administration capacity only. The Jacaranda Agricultural Show is not liable for any loss, howsoever arising or caused, through the cancellation, postponement or abandonment of the event. Furthermore, the Jacaranda Agricultural Show, it’s Directors, officials, agents, employees or contractors shall not be liable for any personal injury to, or death of any person, or the loss or damage to any property of whatever nature, howsoever arising or caused, and whether by reason or the default or negligence of any of the said parties, persons or otherwise.

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I hereby declare that I am the owner of the animals, that the particulars given are true and that this entry is subject to the Rules and Regulations of the Jacaranda Agricultural Show, which I have read and understood.

EXHIBITOR NAME (PRINT)______

EXHIBITORS SIGNATURE______

DATE______

PARENT’S/GUARDIAN’S NAME (PRINT)______

PARENT’S/GUARDIAN’S SIGNATURE______

CONTACT DETAILS______

______

DATE______

BANKING DETAILS:ACCOUNT NAME :PRETORIA FRIESPERDSKOU

ACCOUNT NO : 62623831121

BRANCH CODE : 230736

ENTRY DETAILS – COMPLETE A SEPARATE FORM PER BREED

1.

BREED/SECTION
NAME OF HORSE
REGISTRATION NUMBER
BIRTH DATE
SIRE
  • REGISTRATION NUMBER

DAM
  • REGISTRATION NUMBER

HANDLER/RIDER
CLASS / ENTRY FEE
200
200
200
200
200
TOTAL
NO OF STABLES (R80 PER DAY PER ANIMAL)

2.

BREED/SECTION
NAME OF HORSE
REGISTRATION NUMBER
BIRTH DATE
SIRE
  • REGISTRATION NUMBER

DAM
  • REGISTRATION NUMBER

HANDLER/RIDER
CLASS / ENTRY FEE
200
200
200
200
200
TOTAL
NO OF STABLES (R80 PER DAY PER ANIMAL)

3.

BREED/SECTION
NAME OF HORSE
REGISTRATION NUMBER
BIRTH DATE
SIRE
  • REGISTRATION NUMBER

DAM
  • REGISTRATION NUMBER

HANDLER/RIDER
CLASS / ENTRY FEE
200
200
200
200
200
TOTAL
NO OF STABLES (R80 PER DAY PER ANIMAL)

4.

BREED/SECTION
NAME OF HORSE
REGISTRATION NUMBER
BIRTH DATE
SIRE
  • REGISTRATION NUMBER

DAM
  • REGISTRATION NUMBER

HANDLER/RIDER
CLASS / ENTRY FEE
200
200
200
200
200
TOTAL
NO OF STABLES (R80 PER DAY PER ANIMAL)

TOTAL ENTRY AMOUNT (VAT INCL)______

TOTAL AMOUNT FOR STABLES______

TOTAL DUE______